Oxfam GB Volunteer Application Form

> Tell us who you are and how to get in touch with you Full name Address
(including Postcode)

Telephone
(Including STD Code)

Mobile

Email address > Use this section to tell us about your skills and interests Your availability
(Please tick as appropriate)

Mon
am pm

Tues
am pm

Weds
am pm

Thurs
am pm

Fri
am pm

Sat
am pm

Sun
am pm

Totally flexible

Tell us about any volunteering experience or any previous employment you have?

Are you applying for a specific vacancy or do you have specialist skills, interests or hobbies that you would like to use when volunteering for Oxfam?

Are there any particular skills you would like to develop by volunteering with Oxfam?

> Equal Opportunities

A) Oxfam welcomes volunteer applicants with all range of abilities for the skills they bring. We
aim to create a positive environment that enables all volunteers to realise their full potential. So we can consider any appropriate adjustments to the volunteer environment and better support you in your role, please give details below of any disabilities or health issues (e.g. bad back).

B) Under the rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions?
Yes No If you have ticked yes, summarise details below. Having a conviction will not necessarily stop you from volunteering, but will need to be taken into consideration when assessing your suitability.
BC:187283

C) Do you deal in or sell second-hand goods? Yes

No This will not necessarily stop you from volunteering with Oxfam, however, if you have ticked yes, Please discuss this with the shop manager, who may ask you to complete a separate form.

D) What age group do you fall into? For insurance purposes you must be at least 14 years
of age to volunteer in one of our shops: 14-16yrs 17yrs 18yrs and over > Who can we contact as referees? This can be your previous manager, a support/care worker, landlord, tutor or another Oxfam volunteer.

1) Name
Address Postcode Tel No. Email address How do you know this person?

2) Name
Address Postcode Tel No. Email address How do you know this person?

> Who can we contact in case of an emergency? Name Tel No Relationship to individual > Information about visas If you are from the European Union, you are free to volunteer in the UK. Mobile No.

For those from outside the EU, you will need to check that your visa allows you to volunteer. We advise that you contact the UK Borders and Immigration Agency to find out. Oxfam is not able to sponsor volunteer visas.

> Your details will be kept in accordance with the Data Protection Act 1998/2003. They will be held securely and confidentially. They will be accessed by authorised management. I declare the information I have provided is true. Signed Date

For office use only

Volunteers start date

Date H&S training complete

References collected

Risk assessment (if sections a and/or d (14-16 or 17) ticked yes you will need to complete one Parental consent given for under 16 If applicable, visa has been checked Additional notes

Oxfam GB is a member of Oxfam International. Registered charity in England and Wales 202918 and Scotland SCO 039042